| Inna Kogan Md, Pa | |
|
13101 Preston Rd Ste 504 Dallas TX 75240-5231 | |
| (469) 791-9000 | |
| (469) 791-9011 |
| Full Name | Inna Kogan Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13101 Preston Rd Ste 504, Dallas, Texas |
| Authorized Official Name and Position | Inna Kogan (MD PA) |
| Authorized Official Contact | 4697919000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inna Kogan Md, Pa 13101 Preston Rd Ste 504 Dallas TX 75240-5231 Ph: (469) 791-9000 | Inna Kogan Md, Pa 13101 Preston Rd Ste 504 Dallas TX 75240-5231 Ph: (469) 791-9000 |
| NPI Number | 1992206411 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Medicare PECOS PAC ID | 8820359227 |
|---|---|
| Medicare Enrollment ID | O20180227002910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992206411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H9662 (Texas) | Primary |
| Provider Name | Inna Kogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013027879 PECOS PAC ID: 5890970149 Enrollment ID: I20110429000583 |
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